Wynnette Cerezo Marquez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-9559 Issued in CA

Practice address

5762 Bolsa Ave
Suite 101
Huntington Beach, CA 92649-1172

Phone

(714) 292-6228

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Love 2 Learn Therapies Inc

  • Speech-Language Pathologist
  • Huntington Beach, CA
  • NPI 1821430182

  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1346591195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 IVY AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926839313",
            "telephone_number": "714-903-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5762 BOLSA AVE",
            "address_2": "SUITE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491172",
            "telephone_number": "714-292-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "WYNNETTE",
        "middle_name": "CEREZO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-11-9559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a F Knight MD Med Corporation
• Chris Marker, D.O.
• Marlize Atallah Ayoub DDS Inc.
• Bharat B Marolia, M.D.
• Jonathan Marquez
• Valeria Briana Marquina
• Silvana Marroche, CMT. LMT
• Melissa Sue Marrs-Luna, FNP-BC
• Emma Marsh
• Kathryn Marshack, BCBA

• Behavior Analyst in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.